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KMID : 1155520120070030262
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Anesthesia and Pain Medicine
2012 Volume.7 No. 3 p.262 ~ p.265
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A case of pneumocephalus during labor epidural analgesia -A case report-
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Son Ju-Hyung
Jee Young-Seok
Shin Young-Chul
Yoon Hea-Jo
Lee In-Ho
Jeon Joo-Yeon
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Abstract
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Pneumocephalus can be developed after a dural puncture, which occurs in association with epidural procedures. A 37-year-old, gestational age 40 weeks, pregnant woman was admitted for vaginal delivery. She asked for epidural analgesia when she suffers with labor pain. Epidural anesthesia was done at the L3-L4 interspace with the loss of resistance technique, using air. During the identification of the epidural space, an accidental dural puncture was diagnosed by observing a free flow of CSF, through the needle. The patient developed headache 2 hours later. She was treated with hydration, oxygen, analgesics and the autologus blood patch procedure was done, at the L4-L5 interspace. Despite these measures, the patient’s symptoms worsened with nausea and vomiting. A brain CT scan showed the presence of pneumocephalus. After 100% oxygen therapy and metoclopramide injection, she was discharged on postpartum 2 days, without any complications.
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KEYWORD
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Autologus blood patch, Epidural anesthesia, Headache, Pneumocephalus
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